Glaucoma Management Overview

Working DIAGNOSIS:

Overall SEVERITY of Optic Nerve Damage:

Highest UNTREATED IOP:     OD:       OS:

TARGET IOP Range:

Nerve Fiber Layer (NFL) THINNING by OCT or HRT:

Visual Field (VF) DEFECTS:

STRONG Glaucoma RISK Factors:
    High IOP (> 21 mm Hg)
    Large Cups (>0.5 cup-to-disc ratio)
    Asymmetric Cupping
    Disc flame hemorrhages in past
    Thin Corneas (< 555 microns)
    Family History of Glaucoma
    Topical or Systemic Corticosteroid Use
    Eye Injury or Surgeries (e.g. angle recession)
    Eye Diseases (e.g. iritis, congenital anomolies)
    Age (> 40 years)
    Ethnicity
        African- or Mexican-American (open angle risk)
        Asian-American (closed angle risk)
        Japanese-American (low tension risk)

POSSIBLE Glaucoma RISK Factors:
    High Myopia
    Sleep Apnea
    Migraine Headaches and/or Vascular Spasm
    Vasculopathy (Hypertension, Diabetes, Heart Disease)
    Hypotensive Episodes (including aggressive Rx for hypertension)


Comments / Notes:
   


GLAUC MED Allergies / Intolerance:
   
Past Glaucoma SURGERY OD OS
Periph Iridot (PI)
Argon Las Trab (ALT)
Select Las Trab (SLT)
Argon Las Iridoplasty (ALI)
Surgical Trab
Tube Shunt
Other